HomeMy WebLinkAbout205 Tyler DrO 1 CITY OF SANFORD
C ` BUILDING & FIRE PREVENTION
PERMIT APPLICATION
D (
Application No:
Documented Construction Value: $
Job Address: -ea.S- 41 t: 2 E) 2 40'-C-V Historic District: Yes No 0
Parcel ID: 4 7,.ZO • .3_/• O on. n a o Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: Pf_ rl%P
Plan Review Contact Person: A t ZL n t...-!!, cJ C_ Title:
Phone: y07 got/ D 3.LaL Fax: f 11_i 3.Z % 5 5'J. Email:
Property Owner Information
Name T'a,,r-6'S . r,-e-t- Phone:
Street: LLsk• JiZ Resident of property? : YES
City, State Zip: '_G" J20. GL
Contractor Information I ZA-7 . 9-),/ A7,P_) A16
Name
Street: ti O d s' lif;eE-iiq Ca
Phone: !f 0 311' 9s"S d.
Fax: qy 7 • :? Z•
City, State Zip: State License No.:
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company: ^JA
Address:
Phone: 1\1za
Fax:
E-mail:
Mortgage Lender: i( /'/3
Address:
CC C c O Z 2-,So i
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction
in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools,
furnaces, boilers, heaters, tanks, and air conditioners, etc.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51h Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application cj,-7 q. oo
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be
found in the public records of this county, and there may be additional permits required from other governmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment ofa plan review fee at the time ofpermit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation "fable in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
Signature of Owner/Agent Date azure o ontractor/Agent Date
cJc
Print Oumer/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Print Qontractor/Agent's
C
Sig ture Notary -State of 17 or
DONALO RASH
NoState
01 e CommlSSlon
N FF 221706 My
Comm. Expires Apr 16.2019 BondedthroughNatlonalNotaryAssn. Contractor
no n to a or Produced
t Type of ID BELOW
IS FOR OFFICE USE ONLY Permits
Required: Building Electrical Mechanical Plumbing[] Gas[-] Roof Construction
Type: Occupancy Use: Flood Zone: - Total
Sq Ft of Bldg: Min. Occupancy Load: New
Construction: Electric - # of Amps Fire
Sprinkler Permit: Yes[:] No # of Heads APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
of
Stories: Plumbing - #
of Fixtures Fire
Alarm Permit: Yes No WASTE
WATER: BUILDING: • &
I Revised.
June 30, 2015 Permit Application
RICHARDSON ENGINEERING
131 %elma Street
Orlando, Florida 32803
LIC400012380 / ID# E13 26251
407-425-4002 / Fax # 407-841-7932
March 21. 2016
larjie Adcock
Adcock ROofi11u
800 SOLIth French Avenue
Sanlbyd. FL. 32771
RE: 205 TYLF_.R DRIVE. SANFORD, FL 32771
AFFIDAVIT
On Saturday. March 19. 2016 we inspected the roofing at the Cecelia [:kern home located at 203
Tyler Drivc. Sanford. Florida.
I'hc roolinu is a combination ol'sloped asphalt shingles and relatively Hat ai-eas. Based on the
indirect evidence and observations we believe the roolin*. s>'stcnls conform to the requirements
of the 1:IOrida 13tIIIdIII,1 Code 2010. which was the code at the tlnle OI COIISU'UCtion and pcl' pei-mit
nunlhcr 13-1 5 19.
Richard 13. Richardson. P.E.
J LDING
R13RA
160199
SA
90
16"9
RICHARDSON ENGINEERING
131 Zelma Street
Orlando, Florida 32803
LIC#00012380 / ID# E13 26251
407-425-4002 / Fax # 407-841-7932
March 21. 2016
Marjie Adcock
Adcock Roofing
800 South French Avenue
Sanford. Fl- 32771
RE: 205 TYLER DRIVE, SANFORD, FL 32771
AFFIDAVIT
On Saturday. March 19, 2016 we inspected the roofing at the Cecelia Ekern home located at 205
Tyler Drive. Sanford, Florida.
The roofing is a combination ol'sloped asphalt shingles and relatively Hat areas. Based on the
indirect evidence and observations we believe the cooling systems conlorm to the requirements
ol'the Florida 131.111ding Code 2010. which was the code at the time ol'consuRuction and per permit
number 13-1519.
Richard 13. Richardson, P.E.
RBR/Ip iN
160199 Jc
O
FPIaR
416-go1